| NPI | 1437144078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD27150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 30521) |
| 207R00000X Internal Medicine (Licence: OR MD27150) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2021-07-22 |